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Organization

DOWN HOME PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES COLLINS (PHARMACIST OWNER)
(865) 993-4074
Entity
Organization

Contact information

Practice address
1034 MAIN ST, BEAN STATION, TN 37708-4257
(865) 993-4074
(865) 993-4194
Mailing address
1034 MAIN ST, BEAN STATION, TN 37708-4257

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
3149
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4430601
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/22/2006
Last updated
09/12/2007
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